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. 1983 Jul 1;129(1):21-3, 27.

Self-harm: 1. Suicide.

J Ennis
PMCID: PMC1874937  PMID: 6861043

Abstract

Although suicide rates have remained relatively stable, the risk of suicide has increased among 25- to 35-year-old men. Attempts to understand suicide fall into three major frameworks: sociologic theories, psychologic theories and the relation of suicide to psychiatric illness. The risk of suicide can be assessed by means of a relatively simple clinical interview. Since most suicide victims consult their family doctors within the month before their death, physicians are in a unique position to prevent suicide. Routine assessment of the risk of suicide among patients who appear depressed or are undergoing an emotional crisis can lead to accurate diagnosis and effective intervention. Similarly, the appropriate use of psychotropic medication can lead to effective treatment while minimizing the risk of a lethal overdose.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barraclough B., Bunch J., Nelson B., Sainsbury P. A hundred cases of suicide: clinical aspects. Br J Psychiatry. 1974 Oct;125(0):355–373. doi: 10.1192/bjp.125.4.355. [DOI] [PubMed] [Google Scholar]
  2. Boor M. Methods of suicide and implications for suicide prevention. J Clin Psychol. 1981 Jan;37(1):70–75. doi: 10.1002/1097-4679(198101)37:1<70::aid-jclp2270370112>3.0.co;2-f. [DOI] [PubMed] [Google Scholar]
  3. Brown J. H. Suicide in Britain. More attempts, fewer deaths, lessons for public policy. Arch Gen Psychiatry. 1979 Sep;36(10):1119–1124. doi: 10.1001/archpsyc.1979.01780100089008. [DOI] [PubMed] [Google Scholar]
  4. Eastwood M. R., Peacocke J. E. Suicide, diagnosis and age. Can Psychiatr Assoc J. 1975 Oct;20(6):447–449. doi: 10.1177/070674377502000604. [DOI] [PubMed] [Google Scholar]
  5. Fisch H. U., Hammond K. R., Joyce C. R., O'Reilly M. An experimental study of the clinical judgment of general physicians in evaluating and prescribing for depression. Br J Psychiatry. 1981 Feb;138:100–109. doi: 10.1192/bjp.138.2.100. [DOI] [PubMed] [Google Scholar]
  6. Frederick C. J. Current trends in suicidal behavior in the United States. Am J Psychother. 1978 Apr;32(2):172–200. doi: 10.1176/appi.psychotherapy.1978.32.2.172. [DOI] [PubMed] [Google Scholar]
  7. Hagnell O., Lanke J., Rorsman B. Suicide rates in the Lundby study: mental illness as a risk factor for suicide. Neuropsychobiology. 1981;7(5):248–253. doi: 10.1159/000117857. [DOI] [PubMed] [Google Scholar]
  8. Hellon C. P., Solomon M. I. Suicide and age in Alberta, Canada, 1951 to 1977. The changing profile. Arch Gen Psychiatry. 1980 May;37(5):505–510. doi: 10.1001/archpsyc.1980.01780180019001. [DOI] [PubMed] [Google Scholar]
  9. Jenkins J., Sainsbury P. Single-car road deaths--disguised suicides? Br Med J. 1980 Oct 18;281(6247):1041–1041. doi: 10.1136/bmj.281.6247.1041. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Lester D., Murrell M. E. The influence of gun control laws on suicidal behavior. Am J Psychiatry. 1980 Jan;137(1):121–122. doi: 10.1176/ajp.137.1.121. [DOI] [PubMed] [Google Scholar]
  11. Low A. A., Farmer R. D., Jones D. R., Rohde J. R. Suicide in England and Wales: an analysis of 100 years, 1876-1975. Psychol Med. 1981 May;11(2):359–368. doi: 10.1017/s003329170005217x. [DOI] [PubMed] [Google Scholar]
  12. Murphy G. E. The physician's responsibility for suicide. I. An error of commission. Ann Intern Med. 1975 Mar;82(3):301–304. doi: 10.7326/0003-4819-82-3-301. [DOI] [PubMed] [Google Scholar]
  13. Murphy G. E. The physician's responsibility for suicide. II. Errors of omission. Ann Intern Med. 1975 Mar;82(3):305–309. doi: 10.7326/0003-4819-82-3-305. [DOI] [PubMed] [Google Scholar]
  14. O'Brien J. P. A study of low-dose amitriptyline overdoses. Am J Psychiatry. 1977 Jan;134(1):66–68. doi: 10.1176/ajp.134.1.66. [DOI] [PubMed] [Google Scholar]
  15. Oliver R. G., Hetzel B. S. Rise and fall of suicide rates in Australia: relation to sedative availability. Med J Aust. 1972 Oct 21;2(17):919–923. [PubMed] [Google Scholar]
  16. Phillips D. P. Motor vehicle fatalities increase just after publicized suicide stories. Science. 1977 Jun 24;196(4297):1464–1466. doi: 10.1126/science.867044. [DOI] [PubMed] [Google Scholar]
  17. Phillips D. P. Suicide, motor vehicle fatalities, and the mass media: evidence toward a theory of suggestion. AJS. 1979 Mar;84(5):1150–1174. doi: 10.1086/226904. [DOI] [PubMed] [Google Scholar]
  18. Rockwell D. A., O'Brien W. Physicians' knowledge and attitudes about suicide. JAMA. 1973 Sep 10;225(11):1347–1349. [PubMed] [Google Scholar]
  19. Seiden R. H., Freitas R. P. Shifting patterns of deadly violence. Suicide Life Threat Behav. 1980 Winter;10(4):195–209. doi: 10.1111/j.1943-278x.1980.tb00700.x. [DOI] [PubMed] [Google Scholar]
  20. Shaffer D., Fisher P. The epidemiology of suicide in children and young adolescents. J Am Acad Child Psychiatry. 1981 Summer;20(3):545–565. doi: 10.1016/s0002-7138(09)61644-7. [DOI] [PubMed] [Google Scholar]
  21. Shulman K. Suicide and parasuicide in old age: a review. Age Ageing. 1978 Nov;7(4):201–209. doi: 10.1093/ageing/7.4.201. [DOI] [PubMed] [Google Scholar]

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